A.C. Pereira

• Full Professor, DR PH
• Professor (Full) at State University of Campinas (UNICAMP)

In the face of the global COVID-19 pandemic, the need arose to investigate potential complications associated with SARS-CoV-2, including the risk of stroke. Objective This study aimed to verify the association between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the risk of stroke on the basis of systematic reviews and meta-anal...

O objetivo deste estudo é destacar o papel da ética na saúde como um princípio e valor fundamental da humanização no atendimento, promovendo relações baseadas na confiança, respeito e responsabilidade, e reforçando, assim, o valor do bem coletivo nas práticas de saúde. Ao alinhar-se com os princípios de beneficência, autonomia, não maleficência e j...

A assistência à saúde mental é um desafio para Saúde Coletiva, assim como para os serviços de saúde que devem assegurar aos usuários a qualidade e a equidade do cuidado. O presente estudo objetiva analisar os principais desequilíbrios emocionais da atualidade e sua relação com a saúde mental no contexto da saúde coletiva. Trata-se de uma revisão in...

Introdução: Apesar dos esforços contínuos em educação e promoção de saúde bucal, observa-se uma persistente prevalência de cárie em crianças, principalmente em grupos vulneráveis. Objetivo: Objetivou-se verificar a associação entre as variáveis independentes: local de moradia, Índice de desenvolvimento humano (IDH), Índice de vulnerabilidade social...

In the face of the global COVID-19 pandemic, the need arose to investigate potential complications associated with SARS-CoV-2, including the risk of Stroke. Objective This study aimed to verify the association between SARS-CoV-2 and the risk of Stroke, based on systematic reviews and meta-analyses, in order to assess the inclusion of the virus as...

Objective To evaluate the cost-effectiveness of single-tooth rehabilitation options with dental implants associated with a prosthetic crown (I+C) compared to a fixed partial denture (FPD). Material and Methods A rapid review was carried out to identify the costs (expressed in US$) and effectiveness (expressed through success rate). Bibliographic s...

Objective: To discuss the relation between the social, economic and identity structure of Brazil and the need to maintain the Unified Health System as a more equitable public policy. Methods: A bibliographic search was conducted in MEDLINE databases, via Pubmed, SciELO and BVS, with the descriptors: socioeconomic factors, Unified Health System and...

Considerado a segunda causa de morte no mundo, o Acidente Vascular Cerebral representa um problema de saúde pública, sendo também responsável por uma carga importante de incapacidade, sendo que a COVID-19 pode predispor os indivíduos a complicações cerebrovasculares. Objetivo: analisar internações e óbitos de Acidente Vascular Cerebral em diferente...

Os sintomas persistentes da síndrome pós-COVID-19 acarretam impactos negativos na saúde, qualidade de vida e produtividade. O objetivo deste trabalho foi descrever os sintomas persistentes da síndrome pós-COVID-19, principalmente neurológicos, e as repercussões cognitivas, emocionais, motoras, de qualidade de vida e de custos indiretos, 12 meses ap...

The persistent symptoms of post-COVID-19 syndrome negatively impact health, quality of life, and productivity. This study aimed to describe the persistent symptoms of post-COVID-19 syndrome (especially neurological ones) and their 12-month post-infection cognitive, emotional, motor, quality of life, and indirect cost repercussions. Patients showing...

Background: Brazil has witnessed a significant reduction in maternal-child mortality with the establishment of the Unified Health System. However, the rates remain high and should be mitigated through effective public policies that comprehend the factors involved in these elevated rates. Objective: To investigate the impact of prenatal care on the...

Objective: To associate abandonment of tuberculosis treatment with the variables of access to health services in the state of São Paulo was estimated. Methods: was an epidemiological observational study with data to individuals diagnosed with tuberculosis, residing in the state of São Paulo in the period 2012 to 2017. Generalized Estimating Equatio...

Background To evaluate the cost-effectiveness ratio and economic impact of the Rapid Antigen Test (TR-Ag) to replace RT-PCR for the detection of the new Coronavirus in the Unified Health System (SUS). Methods This is a cost-effectiveness analysis. Clinical protocols were used for the diagnosis of COVID-19 at the São José Municipal Hospital, locate...

Objective: This study assessed maternal mortality (MM) and related factors in a large-sized municipality in the Southeastern region of Brazil (Campinas, São Paulo) during the period 2000-2015. Methods: This study consisted of two phases: 1. An analytical nested case-control phase that assessed the impact of individual and contextual variables on MM...

Resumo O envelhecimento tem imposto mudanças epidemiológicas e aumento na prevalência de doenças crônicas não-transmissíveis (DCNT). O objetivo foi estimar o custo direto relacionado às internações hospitalares de idosos acometidos por DCNT (hipertensão arterial, insuficiência cardíaca e diabetes mellitus) sensíveis à atenção primária, em hospital...

Aging has imposed changes in the epidemiological profile and an increase in the prevalence of chronic non-communicable diseases (CNCDs). The aim was to estimate the direct cost related to hospital admissions of elderly people affected by CNCDs (hypertension, heart failure and diabetes mellitus) sensitive to primary care, in a medium-sized hospital,...

Introdução: A compreensão de fatores associados às mortes evitáveis à Atenção Básica (AB) pode contribuir com apontamentos que melhorem a oferta desse serviço. Objetivo: avaliar a associação dos serviços da AB com o coeficiente da mortalidade na infância por causas evitáveis. Métodos: estudo ecológico com 36.362 equipes de saúde da família que ader...

We evaluated the influence of population size (POP), HDI (Human Development Index) and GDP (gross domestic product) on the COVID-19 pandemic in the Southeast region of Brazil, between February 2020 and May 2021. Methods: Cases, deaths, incidence coefficient, mortality rate and lethality rate were compared among states. The cities were divided int...

Objetivo: Investigar a correlação entre o crescimento do número de ocorrências por lesão corporal dolosa e internações por queda, com ênfase no primeiro ano da pandemia de COVID-19 (2020). Métodologia: Estudo do tipo observacional ecológico. Para avaliação econômica parcial do custo da doença, foram extraídos dados sociodemográficos do Datasus. Em...

Background To assess the financial impact of incorporating a new (reciprocal) technology into endodontic treatments in the public health system (SUS). Methods This was a economic evaluation study (comparing the 3 different endodontic instrumentation techniques—manual, rotary and reciprocating), allocative efficiency analysis to optimize existing r...

The study aimed to analyze the quality of life, oral health impact on daily activities and its association with adherence to dental treatment, and other factors, among vulnerable adolescents. It is a longitudinal analytical study performed with 15- to 19-year-old adolescents in the city of Piracicaba, São Paulo, from 2014 to 2015. The sample consis...

Introdução: Do ponto de vista da saúde pública, a população masculina adulta mostra-se vulnerável ao uso de álcool e as suas consequências. A detecção precoce, assim como a busca por fatores associados são necessárias e as unidades de Saúde da Família são importantes locais para esta abordagem. Objetivo: Este estudo teve como objetivo identificar o...

Aim: To evaluate the impact of the recording of teeth whose clinical conditions rarely vary (anterior teeth and third molars) in inter-examiner agreement measurements. Methods: Clinical data from 56 schoolchildren, 12 years of age, previously collected by two examiners, according to the “Oral Health Surveys: basic methods” codes and criteria, were...

Background Integrated dental services within the Health System, particularly at primary health care, are crucial to reverse the current impact of oral diseases, which are among the most prevalent diseases worldwide. However, the use of dental services is determined by complex phenomena related to the individual, the environment and practices in whi...

Objective Different studies with adolescents address the difficulty they have to adhere to oral dental treatments. Therefore, better understanding the processes involved in adherence to treatment in this population is necessary. The aim of this study was to investigate the factors that influence adherence to dental treatment in socially underprivil...

Abstract Background Dental caries is associated with Biological, behavioral, socioeconomic, and environmental factors; however, socioeconomic status is a distal determinant of dental caries development that modulates exposure to risk and protective factors. This study aimed to analyze the socioeconomic factors associated with the concentration of o...

Resumo Analisou-se a resolutividade da atenção básica em saúde bucal nos municípios do estado da Paraíba, Brasil. Trata-se de um estudo transversal de abordagem indutiva, com procedimento comparativo e técnica de documentação indireta. O indicador de resolutividade (IR) constituiu da razão entre o número de tratamentos concluídos e primeiras consul...

Objetivo: Avaliar os indicadores de desempenho das equipes de saúde da família (eSF) participantes do 1º e 2º ciclo do PMAQ/AB no Nordeste brasileiro. Metodologia: Trata-se de um estudo ecológico, realizado a partir de dados referentes aos indicadores de saúde registrados por 4.325 eSF no Sistema de Informação à Saúde para a Atenção Básica (SISAB)...

Background Access to oral health services remains a challenge in the Brazilian healthcare system, especially in the primary health care setting, where the use of a risk stratification tool that could identify individuals with higher dental vulnerability would be extremely valuable. However, there literature on this theme is scarce, and there is no...

Objective: To evaluate the consumption of ultra-processed foods among children, and to investigate associations with socioeconomic and demographic factors. Methods: An analytical cross-sectional study with 599 children aged 6 months to 2 years, and listed as users of Family Health Units, in a medium-size city. Mothers were approached at home by...

This study aimed to estimate cost and compatibility with public financial incentives of two technologies for treating the edentulous mandible: lower complete dentures (CD) and overdentures retained by two dental implants (OD). This study consisted of a partial economic evaluation, with a micro-costing bottom-up approach for the calculation of direc...

Objective: To compare the estimates obtained, considering or not the weighting data. Material and Methods: Secondary data from the Oral Health Survey of the State of São Paulo (SBSP2015) was used for calculation of mean estimates, standard errors of the mean and confidence intervals (CI) for the DMFT index and components (decayed, lost and filled),...

Objective: To present a concept of dental vulnerability based on the opinion of oral health professionals in Brazil. Methods: A cross-sectional study performed in two stages: preparation of a questionnaire by literature search and its application with oral health specialists. The data were analyzed by means of Bardin technique and descriptive analy...

Objective: To analyze the expenses of hospitalizations for ambulatory care sensitive conditions in the Health Regional Offices of the State of São Paulo. Methods: An ecological, retrospective cohort, with analysis of hospital admissions for ambulatory care sensitive conditions in the state of São Paulo, from 2014 to 2018, compiled by the Hospital...

Introdução: os inquéritos epidemiológicos em saúde bucal servem como subsídio de políticas públicas e, até o momento, não encontramos publicações sobre uma compilação de todos os importantes inquéritos realizados no Brasil. Objetivo: compilar todas as metodologias empregadas nos levantamentos epidemiológicos em saúde bucal realizados no Brasil entr...

Background The social determinants of health are strongly related to dental care needs. Therefore, oral health services in primary health care (PHC) must be planned to be more responsive to the needs of their local populations. The aim of this study was to evaluate the variables that are associated with planning actions by oral health teams (OHTs)...

Objective Understanding the individual and collective behavior of individuals about their oral health conditions is important to prevent and control of dental caries. This study aimed to seek evidence of the relationship between social capital and caries experience. Methods Using a systematic review with meta-analysis, we searched articles in PubM...

Aim: The present study sought to investigate dental caries experience and its association with sociodemographic, postnatal and breastfeeding variables in children in the agerange from 6 to 71 months of age, in the Xingu Indigenous Park, Mato Grosso, Brazil. Methods: This was an analytical cross-sectional study that used secondary data pertaining to...

Objective: The aim of the study was to estimate the budget impact of complete implant-supported dental prostheses in the rehabilitation of mandibular edentulism in patients within the context of the Brazilian national health system - “Sistema Único de Saúde” - SUS. Methods: Treatment with complete implant-supported dentures was compared with the te...

Objective: To evaluate the allocative efficiency, financial impact, and cost-effectiveness of rehabilitation of a single tooth by means of a 3-unit fixed dental prosthesis and of a dental implant from the perspective of the Commercial Social Service - SESC (“Serviço Social do Comércio”). Methods: An economic analysis of the cost-effectiveness type...

Objective: To estimate the flow of professionals and the financial impact of the Programa Mais Médicos para o Brasil (PMMB - More Doctors for Brazil Program) within the More Doctors Program (MDP) for the Brazilian Ministry of Health and the participating municipalities of the state of São Paulo, from January 2019 to March 2022. Methods: A financ...

Background Population ageing in Brazil is rapid and is likely to place additional pressure over the Brazilian public health system. Objective This study aims to examine the factors associated with utilisation of dental services in the previous year among a representative sample of older adults from São Paulo, Brazil. Methods The sample included 5...

OBJECTIVE To monitor the number of oral health teams implemented in the Family Health Strategy after National Primary Care Policy 2017. METHODS This is a study of quantitative, descriptive and analytical nature that used the data from the public reports of the history of oral health coverage available in the e-Manager platform of Primary Care of t...

Resumo Objetivo Realizar uma análise de custo-efetividade de intervenções reabilitadoras para manejo de dente posterior (molar) com extensa destruição coronária. Metodologia Um modelo econômico de Markov simulou uma coorte hipotética de 10 anos, com 1.000 pacientes com necessidade de tratamento em dente molar com necrose pulpar e ampla destruição...

The root canal therapy consists of phases aimed at cleaning and disinfection of the root canal system. The chemomechanical preparation is the one that makes use of instruments that can be used by means of mechanized techniques (rotary and reciprocation) and manual. The present study seeks to compare the three instrumentation techniques, based on co...

Background: Nursing home elders experience many problems that may influence their quality of life, in example of cognitive, mental, nutritional and physical disabilities. Concerning about elders' wellbeing may help them living with dignity. This study aimed to investigate factors associated with Health-Related Quality of Life (HRQoL) of institutio...

Every day, irrespective of whether dental professionals are clinicians, researchers, or public oral health service managers, they are faced with decisions that will have direct impact on their processes of planning, implementing, and evaluating their interventions. The good outcome of these processes will depend largely on the use of reproducible d...

Background The state of São Paulo recorded a significant reduction in infant mortality, but the desired reduction in maternal mortality was not achieved. Knowledge of the factors with impact on these indicators would be of help in formulating public policies. The aims of this study were to evaluate the relations between socioeconomic and demographi...

Background This study aimed to identify the use of alcohol in adult men and to verify the association with socioeconomic, demographic and mental disorders. Methods A cross-sectional analytical study was carried out on adults aged 20 to 59 years old in the city of Piracicaba registered in the Family Health Units (FHU) in 2018. The pattern of alcoho...

Background Offering equitable access to dental care remains a challenge and methods to risk-stratify individuals to prioritize care could help to attain that goal. The interaction of multiple risk factors associated with oral disease vulnerability can outweigh protective factors conferring resilience and resistance to individuals and their communit...

It is a study of Financial Impact Analysis, where the financial consequences arising from the possibility of inclusion of the dentist in the Intensive Care Units (ICU), within the reality of the Unified Health System (SUS), were evaluated in Brazil. It was based on a quick review of the literature and economic evaluation with reference to the year...

Por que usar? - Necessário para transmissão ao vivo no Youtube e outras plataformas, não exigindo programas adicionais para captura de som e tela. Lembrando - Não é uma sala de reuniões, mas um equipamento para transmissão ao vivo. Quais as vantagens desta plataforma? - Ferramenta que possibilita a transmissão da tela e captura de som ao mesmo temp...

COVID-19 pandemic implied new biosafety recommendations to avoid dissemination of SARS-CoV-2 virus within healthcare centers. Changes on recommended personal protective equipment (PPE), decontamination protocols and organization of patient demand resulted may result in cost variation. Based on this, the present study aimed to evaluate the economic...

Background : Dental caries is associated with Biological, behavioral, socioeconomic, and environmental factors; however, socioeconomic status is a distal determinant of dental caries development that modulates exposure to risk and protective factors. This study aimed to analyze the factors associated with the distribution and concentration of oral...

Background: Dental caries is associated with Biological, behavioral, socioeconomic, and environmental factors; however, socioeconomic status is a distal determinant of dental caries development that modulates exposure to risk and protective factors. This study aimed to analyze the factors associated with the distribution and concentration of oral d...

COVID-19 pandemic implied new biosafety recommendations to avoid dissemination of SARS-CoV-2 virus within healthcare centers. Changes on recommended personal protective equipment (PPE), decontamination protocols and organization of patient demand resulted may result in cost variation. Based on this, the present study aimed to evaluate the economic...

This study aimed to identify factors associated with the need for complete dentures in one dental arch or both, among the elderly population. The cross-sectional household study was conducted with a representative sample of elderly people (65 years or older) in the state of São Paulo, Brazil, in 2015. The dependent variable was the need for complet...

Os problemas de maloclusão são considerados como o terceiro maior problema de saúde pública pela Organização Mundial de Saúde e a busca pela correção de desvios morfológicos da oclusão normal tem feito com que a procura por tratamento ortodôntico seja cada vez maior. Entretanto, um dos maiores problemas relacionados ao uso de dispositivos ortodônti...

This systematic review compared the oral health status between institutionalized and non-institutionalized elders. The following electronic databases were searched: PubMed (Medline), Scopus, Web of Science, Lilacs and Cochrane Library, in a comprehensive and unrestricted manner. Electronic searches retrieved 1687 articles, which were analyzed with...

A existência de variações na má oclusão entre a relação molar e a relação dos caninos, demonstra a necessidade de agrupar os problemas de maneira clara e precisa. A grande importância dos caninos na oclusão justifica o estabelecimento de uma nomenclatura própria para descrever os desvios da normalidade, contribuindo para uma comunicação entre os or...

Background Different studies with adolescents refers to the difficulty they have to adhere to oral dental treatments. Therefore, better understanding the processes involved in adherence to treatment in this population is necessary. The aim of this study was to investigate the factors that influence adherence to dental treatment in social underprivi...

Background: Different studies with adolescents address the difficulty they have to adhere to oral dental treatments. Therefore, better understanding the processes involved in adherence to treatment in this population is necessary. The aim of this study was to investigate the factors that influence adherence to dental treatment in socially underpriv...

Objective: To discuss the importance of health technology assessment (HTA) to allow oral health policies to be planned to meet the needs of prevention, promotion and recovery of patients’ health. Methods: It is an opinion article. Oral diseases can be a considerable economic burden for the individual and for society, leading to a global impact of U...

Purpose Nursing home elders experience many problems that may influence their quality of life, in example of cognitive, mental, nutritional and physical disabilities. Concerning about elders’ wellbeing may help them living with dignity. This study aimed to investigate factors associated with Health-Related Quality of Life (HRQoL) of institutionaliz...

Relevant public policies in oral health have been implemented in Brazil since 2004. Changes in the epidemiological status of dental caries are expected, mainly in the child population. This study aimed to assess the dental caries experience and associated factors among 12-year-old children in the state of São Paulo, Brazil. A cross-sectional popula...

Background Tooth loss is an important measure of a population's health condition and has a significant impact on people's quality of life. Oral rehabilitation is an important means for functional and social recovery of edentulous patThe aim of the study was to estimate the budget impact of complete implant-supported dental prostheses in the rehabil...

The objective of this study was to investigate the experience of caries related to social capital and associated factors in adults in large-scale population-based study. A Cross-sectional study was performed in 163 municipalities in the State of São Paulo, Brazil (SBSP-2015). 17,560 people were evaluated, of which 6051 were adults aged 35–44 years....

Objective: To evaluate the factors associated with tooth loss in adults from the position and number of teeth lost in the dental arches. Methods: This is a cross-sectional, population-based study with adults participating in the epidemiological survey of oral health of São Paulo in 2015. The outcome of the study was tooth loss, assessed by the p...

Aim: To investigate factors that influence the oral health-related quality of life of older people (65 years and over) in Brazil. Background: Population-based studies should be conducted to support health-planning interventions. Materials and methods: Data from the São Paulo State Survey on Oral Health (SBSP-2015), which consisted of 5951 indi...

Objective: To evaluate the association of school failure among Brazilian adolescents with social conditions and aspects of oral health through hierarchical analysis. Methods: A state-wide survey of 5,558 adolescents from the state of São Paulo, Brazil, inquired about the sociodemographic and social capital of participants by using a structured q...

The aim of this study was to analyze, by an integrative review of the literature, the possible impacts of financial crises on oral health indicators in different countries, as well as to verify the measures adopted in order to compare with the Brazilian reality. A search for articles that met these criteria was carried out in PUBMED, EMBASE, Lilacs...

Objectives: The aim of the present study was to analyse the factors associated with self-perceived need for dental treatment among adolescents. Methods: A representative sample in the state of São Paulo, Brazil, comprising 5558 adolescents, was evaluated in 2015. The adolescents were selected by probabilistic sampling by conglomerates in two sta...

Introduction: This study aimed to explore the perception of orthodontic treatment need by using the Dental Aesthetic Index (DAI) and the Index of Orthodontic Treatment Need (IOTN). Methods: A cross-sectional study was conducted on a representative random sample (N = 248) of adolescents aged 12 years. The DAI and both components of IOTN were used...

A Faculdade de Odontologia de Piracicaba (FOP), da UNICAMP, aguarda a liberação de recursos financeiros no valor de R$ 50.400,00 por mês, pela celebração de convênio "GraduaCEO Brasil Sorridente" com o Ministério da Saúde, que quando implantado vai proporcionar atendimentos odontológicos gratuitos à população. A justificativa deste Projeto de Inter...

Resumo Embora haja uma unanimidade nas falas dos gestores que o Sistema Único de Saúde é subfinanciado, é unânime também o fato de haver problemas na eficiência da gestão dos gastos. Nesta perspectiva, este estudo faz uma avaliação da eficiência técnica em saúde dos sete municípios da região de saúde Rota dos Bandeirantes do estado de São Paulo no...

Introduction: Determining how primary pharmaceutical assistance is structured allows us to establish situational diagnoses and to visualize possible implications for an essential part of the Brazilian Unified Health System. Methods: We evaluated pharmaceutical services of all municipalities that compose the Regional Inter-Agency Committee on Health...

Purpose Nursing home residents experience many problems that may influence their quality of life, in example of cognitive, mental, nutritional and physical disabilities. Concerning about elders’ wellbeing may help them living with dignity. This study aimed to investigate factors associated with Health-Related Quality of Life (HRQoL) of institutiona...

Objective: To conduct a cost-effectiveness analysis of alternatives for rehabilitation treatment of mandibular edentulism in the context of the Brazilian Unified Health System (implant-supported total dental prosthesis versus conventional total dental prosthesis). Methods: A Markov model was developed to capture long-term clinical and economic o...

Objective: To develop a budgetary impact analysis regarding the possibility of offering complete upper and lower dentures to an eligible population of elderly people (above 65 years) in the São Paulo state, Brazil. Methods: The proportion of eligible population was calculated by assessing the prevalence of edentulous (upper and lower arch) and b...

Satisfaction with dental aesthetics is a subjective indicator used in epidemiological studies and is related to health behaviours. Little is known about the factors that influence this indicator, particularly among adolescents who live in a situation of social vulnerability. The aim of this study was to investigate the relationship between malocclu...

O câncer de colo do útero, quando diagnosticado precocemente, apresenta um dos mais altos potenciais de prevenção e cura. Os objetivos do estudo foram: a) avaliar a proporção de resultados alterados de Papanicolau nas 20 unidades da Região da Supervisão de Saúde da Penha da cidade São Paulo, Brasil; b) diagnosticar os fluxos de acompanhamento corre...

Background The state of São Paulo recorded a significant reduction in infant mortality from 1990 to 2013, but the desired reduction in maternal mortality was not achieved. Knowledge of the factors with impact on these indicators would be of help in formulating public policies. The aims of this study were to evaluate the relations between socioecono...